CPT code 77065: Diagnostic mammogram, one breast, CAD included2026 Medicare rate & RVUs in Virginia
Diagnostic mammography of a single breast, including computer-aided detection when used, reported for a symptom, a callback from screening, or follow-up of a known finding.
In Virginia, Medicare pays $121.70 for 77065 in the office.
Check a contract rate as a % of Medicare · 77065 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 77065 covers
This service is a problem-focused mammographic exam of one breast. It is ordered for a palpable lump, focal pain, nipple discharge, or skin change; a callback for an area of concern on screening; or short-interval follow-up of a probably benign finding. A technologist obtains views tailored to the question, such as spot compression or magnification views when indicated. A radiologist interprets the images and issues a report with a BI-RADS assessment and recommendations. A targeted breast ultrasound may also be performed to evaluate the area of concern.
Report 77065 when one breast is imaged diagnostically; use 77066 when both breasts receive diagnostic mammography. Identify the examined breast with RT or LT. Computer-aided detection, when performed, is included rather than separately billed. The order and report should document the reason for the diagnostic exam and the side examined. For component billing, modifier 26 identifies the radiologist's interpretation, while modifier TC identifies equipment and technologist work. An entity furnishing both components reports the global service without either component modifier.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Virginia compares for 77065
Across 109 of 109 payment localities, the office rate for 77065 runs from $109.48 in Arkansas to $168.11 in San Benito County, CA. Virginia pays $121.70. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$121.70
- Los Angeles, CA · California$141.81+$20.11
- Washington, DC area · District of Columbia$142.57+$20.87
- Miami, FL · Florida$130.90+$9.20
- Chicago, IL · Illinois$127.17+$5.47
- Manhattan, NY · New York$142.26+$20.56
- Alaska · Alaska$142.42+$20.72
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $111.11 | — |
| ArkansasArkansas | $109.48 | — |
| ArizonaArizona | $120.67 | — |
| Bakersfield, CACalifornia | $132.81 | — |
| Chico, CACalifornia | $132.61 | — |
| El Centro, CACalifornia | $132.62 | — |
| Fresno, CACalifornia | $132.61 | — |
| Hanford, CACalifornia | $132.61 | — |
| Madera, CACalifornia | $132.61 | — |
| Merced, CACalifornia | $132.61 | — |
| Modesto, CACalifornia | $132.61 | — |
| Napa, CACalifornia | $154.97 | — |
| Oxnard, CACalifornia | $141.29 | — |
| Redding, CACalifornia | $132.61 | — |
| Rest of CaliforniaCalifornia | $132.61 | — |
| Riverside, CACalifornia | $133.27 | — |
| Sacramento, CACalifornia | $139.51 | — |
| Salinas, CACalifornia | $138.99 | — |
| San Diego, CACalifornia | $142.51 | — |
| Marin County, CACalifornia | $164.51 | — |
| San Francisco, CACalifornia | $164.44 | — |
| San Benito County, CACalifornia | $168.11 | — |
| Santa Clara County, CACalifornia | $167.83 | — |
| San Luis Obispo, CACalifornia | $136.71 | — |
| Santa Cruz, CACalifornia | $144.08 | — |
| Santa Maria, CACalifornia | $139.58 | — |
| Santa Rosa, CACalifornia | $145.56 | — |
| Stockton, CACalifornia | $132.61 | — |
| Vallejo, CACalifornia | $154.87 | — |
| Visalia, CACalifornia | $132.61 | — |
| Yuba City, CACalifornia | $132.61 | — |
| ColoradoColorado | $129.91 | — |
| ConnecticutConnecticut | $132.22 | — |
| DelawareDelaware | $122.70 | — |
| Fort Lauderdale, FLFlorida | $126.78 | — |
| Rest of FloridaFlorida | $120.72 | — |
| Atlanta, GAGeorgia | $125.93 | — |
| Rest of GeorgiaGeorgia | $113.99 | — |
| Hawaii, Guam, HIHawaii | $136.16 | — |
| IowaIowa | $114.59 | — |
| IdahoIdaho | $115.22 | — |
| East St. Louis, ILIllinois | $118.31 | — |
| Rest of IllinoisIllinois | $116.73 | — |
| Suburban Chicago, ILIllinois | $128.23 | — |
| IndianaIndiana | $115.91 | — |
| KansasKansas | $113.75 | — |
| KentuckyKentucky | $113.14 | — |
| New Orleans, LALouisiana | $118.55 | — |
| Rest of LouisianaLouisiana | $112.85 | — |
| Metropolitan Boston, MAMassachusetts | $143.31 | — |
| Rest of MassachusettsMassachusetts | $129.00 | — |
| Baltimore area, MDMaryland | $131.79 | — |
| Rest of MarylandMaryland | $125.16 | — |
| Rest of MaineMaine | $115.52 | — |
| Southern Maine, MEMaine | $122.32 | — |
| Detroit, MIMichigan | $121.95 | — |
| Rest of MichiganMichigan | $115.87 | — |
| MinnesotaMinnesota | $125.28 | — |
| Metropolitan Kansas City, MOMissouri | $118.04 | — |
| Metropolitan St. Louis, MOMissouri | $119.34 | — |
| Rest of MissouriMissouri | $110.68 | — |
| MississippiMississippi | $110.12 | — |
| MontanaMontana | $123.91 | — |
| North CarolinaNorth Carolina | $116.79 | — |
| North DakotaNorth Dakota | $122.73 | — |
| NebraskaNebraska | $115.32 | — |
| New HampshireNew Hampshire | $127.58 | — |
| Northern New JerseyNew Jersey | $141.00 | — |
| Rest of New JerseyNew Jersey | $133.96 | — |
| New MexicoNew Mexico | $116.39 | — |
| NevadaNevada | $123.68 | — |
| NYC suburbs and Long Island, NYNew York | $145.38 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $134.60 | — |
| Queens, NYNew York | $143.88 | — |
| Rest of New YorkNew York | $118.55 | — |
| OhioOhio | $115.62 | — |
| OklahomaOklahoma | $113.25 | — |
| Portland, OROregon | $134.43 | — |
| Rest of OregonOregon | $122.94 | — |
| Metropolitan Philadelphia, PAPennsylvania | $128.70 | — |
| Rest of PennsylvaniaPennsylvania | $115.97 | — |
| Puerto RicoPuerto Rico | $124.94 | — |
| Rhode IslandRhode Island | $127.35 | — |
| South CarolinaSouth Carolina | $116.36 | — |
| South DakotaSouth Dakota | $122.59 | — |
| TennesseeTennessee | $114.30 | — |
| Austin, TXTexas | $129.28 | — |
| Beaumont, TXTexas | $115.18 | — |
| Brazoria, TXTexas | $122.83 | — |
| Dallas, TXTexas | $123.49 | — |
| Fort Worth, TXTexas | $122.56 | — |
| Galveston, TXTexas | $123.12 | — |
| Houston, TXTexas | $124.21 | — |
| Rest of TexasTexas | $118.85 | — |
| UtahUtah | $117.98 | — |
| Virgin Islands, VIUnited States Virgin Islands | $124.94 | — |
| VermontVermont | $121.97 | — |
| Rest of WashingtonWashington | $128.84 | — |
| King County, WAWashington | $146.55 | — |
| WisconsinWisconsin | $118.52 | — |
| West VirginiaWest Virginia | $112.27 | — |
| WyomingWyoming | $123.40 | — |
77065 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$109.48
$150.36
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $142.42 | 1 |
| AL | $111.11 | 1 |
| AR | $109.48 | 1 |
| AZ | $120.67 | 1 |
| CA | $132.61–$168.11 | 29 |
| CO | $129.91 | 1 |
| CT | $132.22 | 1 |
| DC | $142.57 | 1 |
| DE | $122.70 | 1 |
| FL | $120.72–$130.90 | 3 |
| GA | $113.99–$125.93 | 2 |
| GU | $136.16 | 1 |
| HI | $136.16 | 1 |
| IA | $114.59 | 1 |
| ID | $115.22 | 1 |
| IL | $116.73–$128.23 | 4 |
| IN | $115.91 | 1 |
| KS | $113.75 | 1 |
| KY | $113.14 | 1 |
| LA | $112.85–$118.55 | 2 |
| MA | $129.00–$143.31 | 2 |
| MD | $125.16–$142.57 | 3 |
| ME | $115.52–$122.32 | 2 |
| MI | $115.87–$121.95 | 2 |
| MN | $125.28 | 1 |
| MO | $110.68–$119.34 | 3 |
| MS | $110.12 | 1 |
| MT | $123.91 | 1 |
| NC | $116.79 | 1 |
| ND | $122.73 | 1 |
| NE | $115.32 | 1 |
| NH | $127.58 | 1 |
| NJ | $133.96–$141.00 | 2 |
| NM | $116.39 | 1 |
| NV | $123.68 | 1 |
| NY | $118.55–$145.38 | 5 |
| OH | $115.62 | 1 |
| OK | $113.25 | 1 |
| OR | $122.94–$134.43 | 2 |
| PA | $115.97–$128.70 | 2 |
| PR | $124.94 | 1 |
| RI | $127.35 | 1 |
| SC | $116.36 | 1 |
| SD | $122.59 | 1 |
| TN | $114.30 | 1 |
| TX | $115.18–$129.28 | 8 |
| UT | $117.98 | 1 |
| VA | $121.70–$142.57 | 2 |
| VI | $124.94 | 1 |
| VT | $121.97 | 1 |
| WA | $128.84–$146.55 | 2 |
| WI | $118.52 | 1 |
| WV | $112.27 | 1 |
| WY | $123.40 | 1 |
How the 77065 rate is calculated
Each of 77065’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 77065
RVUs × geographic indexes × conversion factor
Work0.79
0.79 RVUs× 1.000 GPCI
Practice expense2.86
2.86 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
3.7100
Conversion factor
$33.4009
Medicare rate
$123.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,976
- Code
- 77065
- Physician work
- 0.79
- Practice expense
- 2.86
- Malpractice
- 0.06
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.79 | × 1.000 | 0.7900 |
| Practice expense | 2.86 | × 0.983 | 2.8114 |
| Malpractice | 0.06 | × 0.706 | 0.0424 |
| Total RVUs | 3.6437 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$121.70
Office: (0.79 × 1 + 2.86 × 0.983 + 0.06 × 0.706) × $33.4009 = $121.70
Payment rules and modifiers for 77065
The CMS indicators that decide how 77065 is paid alongside other services.
CMS payment indicators · 77065
Diagnostic mammogram, one breast, CAD included
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
77065 without 26 · national office
$123.92
Diagnostic mammogram, one breast, CAD included
77065-26 · Professional component
$37.74
Pays only the interpretation and report.
How 77065 has changed in Virginia
77065 · Office / nonfacility
$121.70
Effective 2026-10-01
The base rate is $1.68 higher than on 2025-10-01, moving from $120.02 to $121.70 (1.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$120.02changed to$121.70
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.81 changed to 0.79
- Practice expense RVU 2.90 changed to 2.86
- Work GPCI 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$123.26changed to$120.02
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.05 changed to 0.06
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$121.25changed to$123.26
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$126.14changed to$121.25
- Conversion factor 33.8872 changed to 32.7442
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$129.44changed to$126.14
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$130.51changed to$129.44
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$135.26changed to$130.51
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.91 changed to 2.90
- Malpractice RVU 0.06 changed to 0.05
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$134.21changed to$135.26
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.90 changed to 2.91
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$136.19changed to$134.21
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.96 changed to 2.90
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$136.19
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged toNo rate
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $121.70 | Not available in this setting | RVU26D |
| 2026-07-01 | $121.70 | Not available in this setting | RVU26C |
| 2026-04-01 | $121.70 | Not available in this setting | RVU26B |
| 2026-01-01 | $121.70 | Not available in this setting | RVU26A |
| 2025-10-01 | $120.02 | Not available in this setting | RVU25D |
| 2025-07-01 | $120.02 | Not available in this setting | RVU25C |
| 2025-04-01 | $120.02 | Not available in this setting | RVU25B |
| 2025-01-01 | $120.02 | Not available in this setting | RVU25A |
| 2024-10-01 | $123.26 | Not available in this setting | RVU24D |
| 2024-07-01 | $123.26 | Not available in this setting | RVU24C |
| 2024-04-01 | $123.26 | Not available in this setting | RVU24B |
| 2024-03-09 | $123.26 | Not available in this setting | RVU24AR |
| 2024-01-01 | $121.25 | Not available in this setting | RVU24A |
| 2023-10-01 | $126.14 | Not available in this setting | RVU23D |
| 2023-07-01 | $126.14 | Not available in this setting | RVU23C |
| 2023-04-01 | $126.14 | Not available in this setting | RVU23B |
| 2023-01-01 | $126.14 | Not available in this setting | RVU23A |
| 2022-10-01 | $129.44 | Not available in this setting | RVU22D |
| 2022-07-01 | $129.44 | Not available in this setting | RVU22C |
| 2022-04-01 | $129.44 | Not available in this setting | RVU22B |
| 2022-01-01 | $129.44 | Not available in this setting | RVU22A |
| 2021-10-01 | $130.51 | Not available in this setting | RVU21D |
| 2021-07-01 | $130.51 | Not available in this setting | RVU21C |
| 2021-04-01 | $130.51 | Not available in this setting | RVU21B |
| 2021-01-01 | $130.51 | Not available in this setting | RVU21A |
| 2020-10-01 | $135.26 | Not available in this setting | RVU20D |
| 2020-07-01 | $135.26 | Not available in this setting | RVU20C |
| 2020-04-01 | $135.26 | Not available in this setting | RVU20B |
| 2020-01-01 | $135.26 | Not available in this setting | RVU20A |
| 2019-10-01 | $134.21 | Not available in this setting | RVU19D |
| 2019-07-01 | $134.21 | Not available in this setting | RVU19C |
| 2019-04-01 | $134.21 | Not available in this setting | RVU19B |
| 2019-01-01 | $134.21 | Not available in this setting | RVU19A |
| 2018-10-01 | $136.19 | Not available in this setting | RVU18D |
| 2018-07-01 | $136.19 | Not available in this setting | RVU18C |
| 2018-04-01 | $136.19 | Not available in this setting | RVU18B |
| 2018-01-01 | $136.19 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Separate payment rules apply | Separate payment rules apply | RVU17D |
| 2017-07-01 | Separate payment rules apply | Separate payment rules apply | RVU17C |
| 2017-04-01 | Separate payment rules apply | Separate payment rules apply | RVU17B |
| 2017-01-01 | Separate payment rules apply | Separate payment rules apply | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
77065 billing questions
When should the bilateral diagnostic code be used instead?
Report 77066 when both breasts are imaged diagnostically at the same session. Use 77065 when only one breast receives a diagnostic exam, even if the other breast had a screening study earlier.
Can CAD be billed separately with this code?
No. Computer-aided detection is included when performed; do not report a separate CAD code.
How is a same-day screening followed by a diagnostic exam reported to Medicare?
When a screening mammogram leads to a diagnostic mammogram on the same day, report the screening and diagnostic codes and append modifier GG to the diagnostic code.
How is diagnostic tomosynthesis reported with this code for Medicare?
Medicare uses add-on code G0279 for diagnostic digital breast tomosynthesis performed with 77065; it does not replace the diagnostic mammography code.
Which modifiers identify the professional and technical components?
A radiologist billing only the interpretation reports 77065-26. A provider billing only image acquisition reports 77065-TC; an entity furnishing both components reports 77065 without either component modifier.
How is the examined breast identified?
Append RT or LT to 77065 to identify the breast examined.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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